Apply For Rental

Address

Date Required *

Applicant Name *

Birth Date

SIN

Total # of Occupants

Total # of Occupants Under 19

Additional Application Form

Yes  No

Terms / Requests

Rent per month

Lease Length

Number Home *

Number Cell

Number Work

Email *

Current Address

Postal Code

Current Rent

Length of Tenancy

Land Lord

Phone

Reason for Leaving

Previous Address

Postal Code

Land Lord

Phone

Reason for Leaving

Current Employer

Occupation

Position

Length of Employment

Supervisor

Phone

Smoking

Yes  No

Pets

Yes  No

Car Make / Model

Driver License

Bank / Credit Info

Chequing
Savings
Visa
M/C
Amex
Other

Contact in Case of Emergency

Phone

Local Reference

Phone

I/WE HEREBY AUTHORIZE ONE WEST PROPERTIES CORP. TO OBTAIN SUCH CREDIT REPORTS OR OTHER INFORMATION AS MAY BE DEEMED NECESSARY IN CONNECTION WITH THIS AGREEMENT. THIS CONSENT IS GIVEN PURSUANT TO CHAPTER 78, SECTION 12 OF THE CREDIT REPORTING ACT, R.S.B.C. 1979.